Name *

First Name

Last Name

Where do you reside? *

apartment/condo

house

other

Phone number *

(###)

###

####

Is this your cell or land line number? *

cell

land line

Do you rent or own? *

rent

own

Are there any circumstances that would cause you to return an adopted cat / kitten? *

yes

no

Do all adults in household agree to the adoption? *

yes

no

Do you have any additional friends, family, or roommates living with you not mentioned above? *

yes

no

Are there children living in the household? *

yes

no

Do any of your family members / current roommates have allergies to cats / kittens? *

yes

no

Where will the cat(s) / kitten(s) live? *

indoors

outdoors

indoors & outdoors

Veterinary clinic's phone number *

(###)

###

####

Would you allow a home visit prior to adoption? *

yes

no

Reason for adoption *

companion for child

companion for other pet

companion for self

mouser

gift for someone

other

Are you filling out this application for yourself or another person? *

self

other person

Would you consider adopting two cats / kittens together? *

yes

no

Do you have a safe room with a door where your new cat can live while adjusting (during the transition) to your home? *

yes

no

Do you plan on moving in the next month? *

yes

no

Are you planning on going on vacation in the next month? *

yes

no

Are you financially able to support your cat / kitten if it needs vet care? *

yes

no

If there are other pets in your household, do you agree to follow the method for introductions to other pets as outlined by one of our adoption co-ordinators? *

I agree

no other pets in household

Are you prepared to allow a new cat a minimum of 2 to 3 weeks to adjust to your home? *

yes

no

Are you aware that a cat can live for 20 years? *

yes

no

The information I have provided on this application is true & complete. *

I agree

Date of inquiry *

MM

DD

YYYY